Active NPI
Carmen Renee Box
- Physical Therapy Assistant
- Kansas City, MO
National Provider Identifier
1760604482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2007008845
- Practice address
- 1000 Carondelet Dr
Kansas City, MO 64114-4673 - Phone
- (816) 943-4545
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-01688 | KS | |
| Physical Therapy Assistant | 225200000X | 2007008845 | MO | Primary |
Addresses
Primary practice location
1000 Carondelet Dr
Kansas City, MO 64114-4673
Mailing address
10701 Nall Ave
Suite 130
Overland Park, KS 66211-1363
Phone (913) 663-2555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-01688 | KS | MD | Physical Therapy Assistant |
| 2007008845 | MO | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Rehab Physical & Hand Therapy | Past | Accepting new patients | |
| Sports Rehabilitation & Physical Therapy Associates Inc. | Physical Therapy Assistant | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Overland Park, KS
- NPI 1275915365
-
- Physical Therapist
- Overland Park, KS
- NPI 1528018108
Physical Therapy Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1760604482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10701 NALL AVE",
"address_2": "SUITE 130",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111363",
"telephone_number": "913-663-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CARONDELET DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144673",
"telephone_number": "816-943-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOX",
"first_name": "CARMEN",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-01688",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2007008845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.